I know that a Lisfranc fracture is a fracture of the tarsometatarsal joint(s). If the MRI states there is no actual fracture of the bones but rather a dislocation of the tarsometatarsal joints then that would actually be Dx 838.03.
Can one actually fracture a joint versus dislocation.
The doc stabilized under traction and local pressure, the Lisfranc fracture dislocation joints 1,2,3,4 and 5.
Then introduced percutaneously K-wires to from the base of the 2nd, 3rd and 4th metatarsals into the middle tarsals.
Therfore I am considering billing the 28606 x 3. Does code 28606 include the closed reduction. He reduced all five tarsometatarsal joints but pinned only three. What are your thoughts on coding this surgery?